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Mail to:  Momentum Plus Inc.               1650 S. Amphlett Blvd #226               San Mateo, CA 94402 Momentum Plus         The #1 VOIP company                                                                                <br />DISTRIBUTION CENTER (DC)<br />APPLICATION<br />Applicant's Name: ________________________________________□New Application   □Change RequestSpouse’s Name:__________________________________________  MPlus ID#________________   Business Name:__________________________________________  Highest Rank______________Mailing Address:____________________________________________________________________                          Street / Location, City, Province, Country, Postal Code____________________________________________________________________________________________________________________________□Home Phone Number___________________________________    □Fax Number___________________________________   □Email:________________________________________________   Country Applying for:_______________________________                (1 per application)     Town, City, Province Applying for:__________________________________________________________________<br />Placement                                                                                             Placement Sponsor’s Name:_______________________________________     Sponsor ID #_________________________________Enrollers Name:_______________________________________      Enroller ID #________________________________Do you have sufficient funds to purchase 10 VOIP Phones and membership kits to act as inventory in support of others? Please circle.    YES    or     NODo you have a computer with the following capabilities in this location.    Please circle.Internet Access   YES     NOEmail Access   YES     NOMS OFFICE                 YES                               NOMS WORD   YES     NOMS EXCEL    YES     NO Please rate your ability or the ability of a person on your staff who will handle communications in English. Please circle.Spoken English   Fair   Good   ExcellentWritten English   Fair   Good   ExcellentUnderstanding English  Fair   Good   Excellent<br />Payment information <br /> <br />USA Banking Info                                                                                                Philippines Banking InfoMomentum Plus Inc.                                                                                            Momentum Plus  Phil Inc.1650 S. Amphlett Blvd #226 San Mateo CA 94402                                             Banco De OroWellsfargo Bank                                                                                                    343: Ortigas 1- Exchange RoadAccount# 160-846-9910                                                                                        Routing # 121-042-882                                                                                          Swift Code: BNORPHMM                                                                                                                                 Peso Account #: 343-012-9324<br />Payment Via Credit Card                                                                                                                                            (3-4 digits on back of card)Credit Card Number:_________________________________________   Exp_______/_______    CVV2__________Name on Credit Card:_________________________________________  Billing Zip Code:_____________________I  Authorize Momentum Plus to charge my card for the purchase of VOIP products for my DC Inventory.Signature:____________________________________________________ Date:_______________________ <br />

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Apply to become a Momentum Plus Distribution Center

  • 1. Mail to: Momentum Plus Inc. 1650 S. Amphlett Blvd #226 San Mateo, CA 94402 Momentum Plus The #1 VOIP company <br />DISTRIBUTION CENTER (DC)<br />APPLICATION<br />Applicant's Name: ________________________________________□New Application □Change RequestSpouse’s Name:__________________________________________ MPlus ID#________________ Business Name:__________________________________________ Highest Rank______________Mailing Address:____________________________________________________________________ Street / Location, City, Province, Country, Postal Code____________________________________________________________________________________________________________________________□Home Phone Number___________________________________ □Fax Number___________________________________ □Email:________________________________________________ Country Applying for:_______________________________ (1 per application) Town, City, Province Applying for:__________________________________________________________________<br />Placement Placement Sponsor’s Name:_______________________________________ Sponsor ID #_________________________________Enrollers Name:_______________________________________ Enroller ID #________________________________Do you have sufficient funds to purchase 10 VOIP Phones and membership kits to act as inventory in support of others? Please circle. YES or NODo you have a computer with the following capabilities in this location. Please circle.Internet Access YES NOEmail Access YES NOMS OFFICE YES NOMS WORD YES NOMS EXCEL YES NO Please rate your ability or the ability of a person on your staff who will handle communications in English. Please circle.Spoken English Fair Good ExcellentWritten English Fair Good ExcellentUnderstanding English Fair Good Excellent<br />Payment information <br /> <br />USA Banking Info Philippines Banking InfoMomentum Plus Inc. Momentum Plus Phil Inc.1650 S. Amphlett Blvd #226 San Mateo CA 94402 Banco De OroWellsfargo Bank 343: Ortigas 1- Exchange RoadAccount# 160-846-9910 Routing # 121-042-882 Swift Code: BNORPHMM Peso Account #: 343-012-9324<br />Payment Via Credit Card (3-4 digits on back of card)Credit Card Number:_________________________________________ Exp_______/_______ CVV2__________Name on Credit Card:_________________________________________ Billing Zip Code:_____________________I Authorize Momentum Plus to charge my card for the purchase of VOIP products for my DC Inventory.Signature:____________________________________________________ Date:_______________________ <br />